Elastic intramedullary nailing of midclavicular fractures

The majority of midclavicular fractures are treated conservatively. Fractures that require internal fixation are treated by plate osteosynthesis as the standard procedure. Elastic stable intramedullary nailing is an increasingly popular alternative for the internal fixation of displaced midclavicula...

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Bibliographic Details
Published inActa chirurgica belgica Vol. 108; no. 4; p. 428
Main Authors Hartmann, F, Hessmann, M H, Gercek, E, Rommens, P M
Format Journal Article
LanguageEnglish
Published England 2008
Subjects
Adolescent
Adult
Aged
Bone Nails
Clavicle - injuries
Clavicle - surgery
Elasticity
Female
Follow-Up Studies
Fracture Fixation, Intramedullary - instrumentation
Fractures, Closed - diagnostic imaging
Fractures, Closed - surgery
Humans
Male
Middle Aged
Prosthesis Design
Radiography
Retrospective Studies
Treatment Outcome
Young Adult
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Summary:The majority of midclavicular fractures are treated conservatively. Fractures that require internal fixation are treated by plate osteosynthesis as the standard procedure. Elastic stable intramedullary nailing is an increasingly popular alternative for the internal fixation of displaced midclavicular fractures. In a three-year period, 15 fractures of the clavicle were treated by elastic intramedullary nailing. Fracture healing, clinical outcome and complications were assessed. Mean follow-up time was one year All fractures healed clinically and radiologically. Non-union or infections were not observed. Functional results according to the Constant score were excellent. Complications consisted of skin irritation in four cases. One acromioclavicular joint separation was observed postoperatively. Elastic stable intramedullary nailing of displaced midclavicular fractures is a minimally invasive technique with excellent functional results and early pain relief.
ISSN:0001-5458
DOI:10.1080/00015458.2008.11680255